Rivarobaxan - ANS anticoagulant, rapid onset, less bleeding, 2-4 hour peak, increased risk for
cranial bleed
Rivarobaxan Patient education - ANS only electric razor, be alert for signs of bleeding (bruising),
Not for pregnant or lactating women, monitor liver and kidney function for older adults, NO
NSAIDs
Adverse effects of Rivarobaxen - ANS Bleeding gums (use soft brush), rash, GI upset (take with
meal to help), headache, dizziness, cranial bleed
Post Myocardial Infraction Medication - ANS Anti platelet aspirin
Why are warfarin and heparin given together? - ANS Heparin is fast acting given for 3-5 days
with Warfarin until Warfarin takes effect
Patient education for statin - ANS Take at night, Closely monitor liver, Creatinine levels, and
avoid alcohol and grapefruit juice.
Side/Adverse effects of Statin - ANS Muscle pain, GI upset, liver toxicity
Sympathomimetic agents include - ANS the over-the-counter cold preparations (containing
ephedrine), caffeine
Contradictions for the use of over-the-counter sympathomimetic agents - ANS Caffeinated foods
and beverages, including coffee, energy drinks, energy bars, and certain sodas, can also interact
, with beta-blockers (prescription sympathomimetic) by slowing down how fast your body
metabolizes them. This can cause the medication to stay active in your body for longer
If labs with blood thinners are too high - ANS your patient will bleed out and die
If labs with blood thinners are too low - ANS blood clots will grow
thrombolytic - ANS drug that breaks down blood clots
Common Thrombolytics - ANS t-PA, Streptokinase, Alteplase
How long before surgery should blood thinners be stopped? - ANS 2-3 days
Contraindications for blood thinners - ANS active bleeding- peptic ulcers, recent surgery.
Anti-Coagulants- Heparin lab to monitor - ANS PTT value 46-70
Anti-Coagulants Warfarin lab to monitor - ANS INR value 2-3
Antiplatelet - Aspirin and Clopidogrel labs to monitor - ANS Platelet count under 150,000 iffy
under 50,000 risky and HBC less than 7 sends the patient to heaven
Why are beta blockers added to treat hypertension - ANS they reduce contractility of the heart
muscle slowing blood pressure.